Provider Demographics
NPI:1720445000
Name:MURPHY, BENJAMIN (PHARM-D)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 WITBECK DR
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-5125
Mailing Address - Country:US
Mailing Address - Phone:518-847-2239
Mailing Address - Fax:
Practice Address - Street 1:12 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MECHANICVILLE
Practice Address - State:NY
Practice Address - Zip Code:12118-1503
Practice Address - Country:US
Practice Address - Phone:518-664-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist